Introduction: Neuroendocrine tumors (NETs) are neoplasms commonly found within the gastrointestinal tract (GIT) that originate from endocrine cells. These are slow progressive tumors and often metastasize to other elements of the GIT including the liver. Consequently, these tumors release hormones including serotonin and/or histamine that are responsible for the symptoms including intermittent flushing and diarrhea. Metastasis of NETs, although rare, is possible and may extend to local lymph nodes and viscera. Cutaneous metastasis of NETs is rare and has only been reported anecdotally.2496_A Figure 1 No Caption available.2496_B Figure 2 No Caption available.Case Description: Our patient is a 69-year-old Caucasian female who initially presented with postprandial abdominal pain, nausea, and vomiting. Initially, her esophagogastroduodenoscopy (EGD), colonoscopy, and small bowel follow-through were normal. Her symptoms were controlled with butalbital acetaminophen caffeine capsules. She received a computed tomography (CT) abdomen three years later, which was notable for a significantly dilated stomach and possible closed-loop obstruction with a mesenteric mass that was amorphous with some calcifications. She underwent a laparotomy and was diagnosed with small bowel NET following surgical resection in 2014. Restaging after surgery showed regional lymph node involvement and hepatic metastasis. She was started on octreotide, and later switched to lanreotide. She noticed a cutaneous mass in the upper right flank in 2016, which was followed up by a dermatologist. In 2017, the mass grew in size and hence biopsied, which showed NET consistent with her primary tumor. She is currently doing well and is being followed as outpatient. Discussion: NETs often metastasize to lymph nodes and liver but rarely can involve the skin and present as firm papules as found in our patient. Cutaneous metastasis of NETs often has high morbidity and mortality and is usually associated with a primary lesion in the bronchopulmonary system. However, as demonstrated in this case report, cutaneous metastasis can originate from the GIT, including the small intestine as well.